<div>
	<%= f.label :name %><br/>
	<%= f.text_field :name, :class => "medsize" %>
</div>

<br />

<div>
	<%= f.label :url_callback, 'URL callback <a href="http://code.google.com/p/reportingwheel/wiki/API#Callback" target="_blank"><img src="/images/question.png" width="14" height="14"/></a>'.html_safe %><br/>
	<%= f.text_field :url_callback, :class => "largesize" %>
</div>

<br />

<div>
	<%= f.check_box :allow_free_text %>
	<%= f.label :allow_free_text %>
</div>